Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.10 / $332.05 / $586.83	Facility		$123.10	$332.05	$586.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $161.05 / $206.81	Professional		$123.10	$161.05	$206.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $204.56 / $640.52	Facility		$120.56	$204.56	$640.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $74.05 / $403.56	Professional		$55.53	$74.05	$403.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $268.42 / $397.89	Facility		$185.12	$268.42	$397.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.47 / $382.00 / $868.74	Facility		$184.47	$382.00	$868.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $282.70 / $1,042.09	Professional		$84.47	$282.70	$1,042.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $240.66 / $1,444.15	Professional		$166.61	$240.66	$1,444.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $259.17 / $342.47	Professional		$224.00	$259.17	$342.47
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $338.21	Professional		$77.75	$111.07	$338.21